KYLE ROBERT ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142335

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

ROBERT

Last Name

ANDERSON

Business Name

KYLE ROBERT ANDERSON

Original Issue Date

05/09/2002

Effective Date

05/09/2002

Expiration Date

03/31/2005

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

10/20/2005